Individual
TIFFANY PASCALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 DEER PARK AVE STE G, DEER PARK, NY 11729-5208
(631) 667-0388
Mailing address
1600 DEER PARK AVE STE G, DEER PARK, NY 11729-5208
(631) 667-0388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
03/19/2015
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